Hold it by the crown rather than the root and try to reinsert it in the socket. (Your child can keep it in place until treatment by biting down on a wet piece of clean gauze.) If that is not possible, put the tooth in a glass of milk, saline solution, or saliva, and take your child and the glass immediately to our office, or an emergency medical treatment facility.
For a broken tooth, rinse your child’s mouth out with warm water to clean out any debris or foreign matter. Use a cold compress on the child’s cheek or gum near the affected area to keep any swelling down. Call our office immediately.
Minor fractures may be smoothed with a sandpaper disc or simply left alone. Another option is to restore the tooth with a composite restoration. In either case, treat the tooth with care for several days. Keep your child on a soft diet that avoids use of the broken tooth.
Moderate fractures include damage to the enamel, dentin (the bony hard portion of the tooth), and/or pulp (the nerve and blood vessels within the tooth). If the pulp is involved, the tooth may need a nerve treatment, including the possibility of a root cnal in order to save it. The tooth may be restored with a composite filling or a permanent crown. If damage to the pulp does occur, further dental treatment will be required.
Severe fractures often mean a traumatized tooth with slim chance of recovery.